HCPCS J2791
Injection, rho(d) immune globulin (human), (rhophylac), intramuscular or intravenous, 100 iu
Current codeInjection - Immune Globulin42 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $32.80 – $98.01 | $16.40 – $46.12 | $41.00 – $115 |
| Deaconess Medical Center | $29.82 – $59.38 | $16.80 – $32.54 | $42.00 – $81.35 |
| EvergreenHealth Medical Center | $74.55 – $928 | $798 | $998 |
| EvergreenHealth Monroe | $691 – $1,020 | $878 | $1,097 |
| Highline Medical Center | $155 – $325 | $110 | $361 |
| Kadlec Regional Medical Center | — | $250 | $357 – $357 |
| Mary Bridge Children's Hospital | $26.81 – $32.80 | $16.40 | $41.00 |
| MultiCare Auburn Medical Center | $24.19 – $40.98 | $16.40 – $22.46 | $41.00 – $56.14 |
| MultiCare Covington Medical Center | $24.19 – $51.59 | $16.40 – $28.28 | $41.00 – $70.68 |
| MultiCare Good Samaritan Hospital | $24.19 – $45.35 | $16.40 – $24.86 | $41.00 – $62.13 |
| MultiCare Valley Hospital | $30.24 – $51.64 | $16.80 – $28.69 | $42.00 – $71.72 |
| Overlake Hospital Medical Center & Clinics | — | $123 – $130 | $247 – $261 |
| Providence Regional Medical Center Everett | — | $214 – $214 | $411 – $411 |
| Providence St Peter Hospital | — | $322 | $619 |
| St Anthony Hospital | $198 – $271 | $110 | $361 |
| St Clare Hospital | $198 – $271 | $104 | $361 |
| St Elizabeth Hospital | $130 – $325 | $128 | $361 |
| St Francis Community Hospital | $198 – $271 | $113 | $361 |
| St Joseph Medical Center | $198 – $271 | $120 | $361 |
| St Michael Medical Center | $227 – $325 | $159 | $361 |
| Tacoma General Allenmore Hospital | $16.47 – $84.17 | $11.17 – $46.12 | $27.91 – $115 |
| Virginia Mason Medical Center | $15.24 – $19.03 | $12.13 | $23.79 |
| Yakima Valley Memorial | $38.70 – $93.77 | $27.64 – $66.98 | $69.10 – $167 |
Medicare (traditional) reference
CMS publishes no national amount for this code.